Allen, Myriam
Allen, Myriam is an individual health care provider with primary practice located at 1000 E.Aztec Ave , Gallup NM 87301. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Allen, Myriam can be contacted via phone (505) 721-1800.Contact Information
Primary practice address
1000 E.Aztec Ave
Gallup NM 87301
Phone: (505) 721-1800
Fax: (505) 721-1899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1628 | New Mexico |
Profile Details
| NPI number | 1497713408 |
|---|---|
| LBN Legal business name | Allen, Myriam |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497713408 | NPPES |
| New Mexico | MEDICAID | 000F1388 |
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